JACKY PENG
NPI 1508604489
Physical Therapist in Brentwood, CA

Active since July 16, 2024Accepts Medicare Assignment
101 SAND CREEK RD STE A, BRENTWOOD, CA 94513(925) 939-8585 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2025, Jul 18, 2024 (2 updates tracked since 2024).

About Jacky Peng NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKY PENG (NPI 1508604489) is an individual physical therapist in Brentwood, California, licensed in California (306189) and active in the NPI registry since July 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1508604489
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJACKY PENG
Location Address101 SAND CREEK RD STE ABrentwood, CA 94513-2539
Mailing Address1216 Sierra Trail RdOakley, CA 94561-5240 · (415) 793-6802
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 16, 2024
Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
NPI 1508604489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in CA · 306189
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
101 SAND CREEK RD STE A, Brentwood, CA 94513

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacky Peng is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052858982
PECOS Enrollment IDI20240808003406

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
120 services24 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
113 services24 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
100 services26 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
73 services18 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94513 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
101 SAND CREEK RD STE A
BRENTWOOD, CA 94513
Occupational Therapist
101 SAND CREEK RD STE A
BRENTWOOD, CA 94513
Physical Therapist
101 SAND CREEK RD STE A
BRENTWOOD, CA 94513
Occupational Therapist
101 SAND CREEK RD STE A
BRENTWOOD, CA 94513
Orthopaedic Surgery
101 SAND CREEK RD STE A
BRENTWOOD, CA 94513

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacky Peng's NPI number?

The NPI number for Jacky Peng is 1508604489. It was assigned to this individual provider in the NPPES registry on July 16, 2024.

Where is Jacky Peng located?

Jacky Peng practices at 101 Sand Creek Rd Ste A, Brentwood, CA 94513. The listed phone number is (925) 939-8585.

What is Jacky Peng's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jacky Peng enrolled in Medicare?

Yes. Jacky Peng is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacky Peng was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.